Due to acuity levels being higher than ever despite reimbursements falling, ancillary providers face greater pressure for faster turnaround times. These pressures occur despite geographical and financial limitations on facilities. Estimated turnaround time on STAT blood work also plays a significant role in decisions on whether to send out or keep a resident. With the introduction, training, and implementation of the Aculabs
Program, patient results are online in Point of Care . Our devices are fully CLIA waived and the maintenance of the device is fully managed by us. minutes not hours Current Tests: Na, K+, CL, TCO2, Anion Gap, iCalcium, Glucose, BUN, Creat, H&H
All results obtained on the device will transmit back to our laboratory to run through a delta check and be integrated back into the patient’s chart for cumulative reporting. Ultimately, we offer an integration that can
residents in the facilities, helping to reduce the rate of readmission. keep


Pursuant to the Companies (Significant Beneficial Owners) Rules, 2018 (‘
SBO Rules’), the Securities and Exchange Board of India (‘ SEBI’) issued a circular dated December 7, 2018 (‘ SBO Circular’) modifying disclosure requirements under the SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015 (‘ Listing Regulations’) relating to the quarterly disclosures of shareholding patterns by listed entities. The SBO Circular requires disclosure of details pertaining to significant beneficial owners in a prescribed format, including details of the significant beneficial owner, registered owner, shares in which significant beneficial interest is held and the date of creation / acquisition of significant beneficial interest. The SBO Circular is to come into force with effect from the quarter ending on March 31, 2019.
However, the MCA issued a clarification on September 10, 2018 stating that it would be issuing an amended format for making disclosures under the SBO Rules and has granted an extension for making the filing. Consequently, if the amended SBO Rules are not issued before March 31, 2019, there is likely to be uncertainty regarding the scope and applicability of the SBO Circular.


Dental fillings in Madison, AL, are designed to eliminate small areas of tooth decay and "fill" the hole left behind by a cavity. The procedure is straightforward, and you will be able to eat after your treatment as long as your mouth is not numb.
For larger fillings, our dentists may need to numb the area around the compromised tooth to ensure your comfort during the procedure. If we numb your tooth for a procedure, it's a good idea to wait to eat until after the numbness wears off. Otherwise, you could risk accidentally biting your cheek or harming your soft tissues.
Smaller fillings may not require anesthetic as they are quick and straightforward. Eating right afterward is fine if you're not numb during your tooth filling procedure.
Dental anesthetic typically wears off one to two hours after the procedure. However, contact your Gibson Dental team immediately if you experience prolonged numbness or notice that it doesn't seem to be wearing off.
Tooth-colored fillings are an excellent option for restoring your smile without detracting from the appearance of your tooth. They're our dentist's top choice for repairing teeth with tooth decay.
If you have questions about tooth-colored fillings in Madison, call Gibson Dental at (256) 724-3530 for more information.


A watershed management plan identifies problems and threats to water resources and develops a framework to address these issues within a specific watershed. Development and implementation of a watershed management plan is a key step in Watershed Management, leading to protection and restoration of water quality, and conservation of water resources, by guiding local land use decision making, and enhancing pollution prevention programs.


Dental Crowns in Beverly Hills
Broken or cracked teeth are at risk of further deterioration, and severe tooth decay may require a root canal or substantial tooth reduction to save the tooth. Dental crowns are durable dental restorations that protect and strengthen teeth that are damaged in this fashion. Made of ceramic, porcelain or Zirconia, these caps restore the function, integrity and cosmetic appeal of the tooth and the overall appearance of your smile.
Dr. Steven Goldy offers Emax and Zirconia dental crowns to his Beverly Hills patients for dental restorations that match your adjacent teeth and provide a beautiful smile. These dental crowns may also be fabricated with porcelain material. With nearly three decades at the forefront of cosmetic and reconstructive dentistry, Dr. Goldy uses advanced technologies and high-quality materials to customize dental crowns. The goal is to achieve a healthier mouth with virtually undetectable dental work.
Zirconia and Emax crowns are reliable materials that repair severe dental problems, offering long-lasting treatment. Our renowned dentist can reinforce the tooth structure and prevent further damage if the tooth is harmed by injury, disease or general wear and tear. Emax restorations are all-ceramic crowns that look like natural teeth and offer excellent color matching with adjacent teeth.
Are You a Candidate for Dental Crowns?
Dental crowns are often the top choice for people with fractured teeth and severe tooth damage. These caps are placed on top of fragile, brittle teeth after a root canal procedure and support the broken tooth. They can also cover badly stained teeth that don’t respond to whitening treatment and can be used to fix mildly crooked teeth. In some cases dental crowns are used as artificial teeth for dental implants, implant-supported dentures and bridges.
Candidates for dental crowns typically have a cracked or broken tooth or significant tooth decay that requires more than a filling. Crowns are typically the best choice for people with significant dental issues and tooth damage.
What are the Benefits of Dental Crowns?
Dental crowns are sometimes necessary to restore good oral health and save a tooth. They offer support to misshapen and broken teeth and look like your natural teeth. Due to hairline cracks, people often struggle with unexplained pain in their posterior (or back) teeth. Placing dental crowns on these teeth relieves tooth pain and restores the tooth’s full function. Crowns may replace older dental fillings in front teeth that chip or wear down over time.
These all-ceramic or Zirconia caps are placed over the remaining tooth structure, improving your smile and chewing ability. Emax and Zirconia dental crowns are near-perfect matches for natural teeth. However, Zirconia caps are often preferred for posterior teeth because they are stronger. Dr. Goldy may recommend Emax dental crowns for front teeth because of their slightly superior esthetics. The materials used to create dental crowns are biocompatible and less likely to cause inflammation and irritate oral tissues.
Emax Dental Crowns
All-ceramic (Emax) crowns have several advantages. Emax caps are the most durable material and don’t contain metal that may become visible at the gum line and affect the appearance of your smile. The ceramic does not chip easily and has a low incidence of cracking or fractures. Emax crowns are fabricated with thin layers, which preserves more of the natural tooth structure. The milling process to create Emax crowns with CAD-CAM software forms the ideal shape for the crown, so it matches your existing teeth.
Dr. Goldy takes pride in offering these healthier alternatives to traditional materials, such as amalgam. All-ceramic Emax crowns and Zirconia crowns mimic the sheen of natural teeth for a better-looking and healthier smile. Porcelain crowns offer similar benefits.
What Is Involved in the Dental Crown Procedure?
Dental crowns require at least two visits. The first appointment involves removing tooth decay and damaged areas of the tooth and shaping the remaining structure to fit the crown. Dr. Goldy performs a dental exam, and the teeth are cleaned before a small drill reshapes the affected tooth. Dental putty is used to create an impression of your teeth that is sent to a lab to customize the crown to the ideal shape, size and color. Take special care of your temporary crown and avoid exerting too much pressure on the area.
Emax dental crowns are created with CAD-CAM milling and software that designs and fabricates a dental crown to the precise shape and size that matches your surrounding teeth. Zirconia dental crowns may be layered with porcelain for a more natural look. It takes up to three weeks to create the permanent crown, which is placed during a second dental procedure.
The temporary crown is removed and replaced with your customized Emax, porcelain or Zirconia crown during your second appointment. Dr. Goldy checks the fit and shade before cementing the crown for a long-lasting dental restoration that protects the vulnerable tooth structure underneath.
What Kind of Results Can I Expect?
Dental crowns regularly last 10 years or longer, and Zirconia crowns may last up to 30 years. Emax and Zirconia crowns are high-quality, durable materials that are less likely to chip and break. Your crown(s) should match your natural teeth, and Dr. Goldy’s goal is to deliver dental restorations that blend in seamlessly, making it difficult for anyone to tell you’ve had dental work. While the materials are stain-resistant, dental crowns may discolor over time and don’t respond to teeth whitening treatments. Significant stains may require a replacement dental crown.
Dental restorations, such as dental crowns and implants, don’t require special care, and you can clean them like your natural teeth. Brush and floss your teeth and crowns twice daily, and schedule regular dental exams and cleanings at our dentistry office. Patient education and satisfaction are critical parts of Dr. Goldy’s approach. We encourage patients to contact us promptly if a dental crown becomes loose or damaged. View our porcelain crowns before-and-after gallery to see what you can expect for your results.
Contact Dr. Steven Goldy in Beverly Hills
If you are missing one or more teeth, schedule a dental implant consultation with Dr. Goldy to learn more. Call our Beverly Hills office at (310) 550-1511 or fill out our online contact form today.


Developments in international seaborne trade
The world economic situation has brightened in 2010. However, multiple risks threaten to undermine the prospects of a sustained recovery and a stable world economy – including sovereign debt problems in many developed regions, and fiscal austerity. These risks are further magnified by the extraordinary shocks that have occurred in 2011, which have included natural disasters and political unrest, as well as rising and volatile energy and commodity prices. Given that for shipping, all stands and falls with worldwide macroeconomic conditions, the developments in world seaborne trade mirrored the performance of the wider economy. After contracting in 2009, international shipping experienced an upswing in demand in 2010, and recorded a positive turnaround in seaborne trade volumes especially in the dry bulk and container trade segments. However, the outlook remains fragile, as seaborne trade is subject to the same uncertainties and shocks that face the world economy. This chapter covers developments from January 2010 to June 2011. Section A reviews the overall performance of the global economy and world merchandise trade. Section B considers developments in world seaborne trade volumes and looks at trends unfolding in the economic sectors and activities that generate demand for shipping services, including oil and gas, mining, agriculture and steel production. Section C highlights some developments that are currently affecting maritime transport and have the potential to deeply reshape the landscape of international shipping and seaborne trade.
© United Nations
ISBN (PDF):9789210552233 Book DOI:https://doi.org/10.18356/e866e89a-en Related Subject(s):Transportation and Public Safety Sustainable Development Goals: /content/books/9789210552233c005dcterms_title,dcterms_subject,pub_keyword-contentType:Journal -contentType:Contributor -contentType:Concept -contentType:Institution105
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Life is hectic. A court date can be easy to miss between work, family, social obligations, and unforeseen disruptions. However busy one finds themselves, missing any court date can result in serious consequences.
If you miss a court date, a judge will usually move quickly to issue a Failure to Appear (“FTA”) order which can result in the suspension of your license, a bench warrant for your arrest, and jail or fines. An experienced McDonough failure to appear lawyer may be able to clear up your FTA and your underlying offense. Additionally, our skilled criminal defense attorneys could help you prepare for court and explain your charges.
When someone fails to appear in court for a traffic citation or criminal offense, the judge may issue a warrant for their arrest and transmit the driver’s license information to the Department of Driver Services for a license suspension. As noted in the Official Code of Georgia Annotated, §17-7-90, a bench warrant may be issued for one’s arrest when they fail to appear in court after:
Once the bench warrant is issued, law enforcement is notified. If someone is pulled over for speeding and has an active bench warrant, they can be arrested and jailed until bail is posted.
Pursuant to O.C.G.A. §40-5-56, when someone misses a court appearance for a traffic violation they could have their license suspended. Traffic citations are required to include this language informing drivers of this provision which is deemed sufficient notice of suspension. When someone continues to drive following a suspension, they could be convicted of driving with a suspended license. Driving on a suspended license can result in a $1,000 fine, two days in jail and up to 12 months on probation, along with an additional license suspension of six months.
As stated in O.C.G.A. §40-13-63, the penalty for someone who fails to appear in court according to the citation or complaint is an offense that is punished by a fine of $200 or less or by jail time for a period not exceeding three days. A McDonough attorney who understands all the legal ramifications that accompany a failure to appear charge may help someone avoid these severe consequences.
It is important to note that it is possible to resolve an FTA. A person remains in FTA status until applicable fines are paid, and a judge resolves the matter via a hearing where the judge reviews the charge. A judge may consider all mitigating circumstances if the defendant can prove that their situation kept them from making their court appearance. These circumstances may include hospitalization or imprisonment at the time. A qualified McDonough lawyer who has dealt with failure to appear hearings could help someone resolve their charges.
Whether you missed your court date by mistake or on purpose, a seasoned McDonough failure to appear lawyer may be your best option in resolving your charges. The alternative is license suspension and arrest, which is not only stressful, but can lead to professional or personal implications.
Be proactive and contact a McDonough failure to appear lawyer today. Waiting may lead to an unnecessary arrest. Our team of legal professionals could help you examine your options, obtain a quick resolution, and avoid serious consequences.


Jonatan Märcher-Rørsted 1, Miguel Temboury Gutierrez 1, Gerard Encina-Llamas 1, Jens Hjortkjær 1,2, Torsten Dau 1 1 Hearing Systems Section, Department of Health Technology, Technical University of Denmark, DK-2800 Kgs. Lyngby, Denmark 2 Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, DK-2650 Hvidovre, Denmark
Sound perception, in particular for speech and music, relies on accurate neural encoding of fast sound fluctuations. Neurons in the healthy auditory periphery and brainstem are able to phase-lock to these temporal fluctuations. Despite this being a fundamental aspect of the healthy hearing system, the limits of phase locking in humans remain unclear. Neuronal mass activity can be recorded in the form of electrical activity by electrodes placed on the scalp (i.e., electroencephalography, EEG). Phase-locked EEG responses to the carrier or the envelope of an auditory stimulus elicit a frequency following response (FFR). FFRs are reduced with increasing age. The reduction of FFR amplitude with age, particularly in listeners with clinically normal thresholds, has previously been associated with a decline in temporal processing due to desynchronization in the brainstem. However, motivated by outcomes from a recent modeling study, neural degeneration in the cochlea could account for such FFR reduction. If this would be supported experimentally, FFRs could be used as a biomarker of peripheral neural degeneration in humans. In the present study, FFRs in young and older clinically normal-hearing (NH) adults were recorded simultaneously using two electrode montages: a traditional vertical EEG montage mainly sensitive to central sources and through electrocochleography using tympanic membrane electrodes and ear canal electrodes to capture mainly peripheral sources. FFRs were recorded using tone-bursts at two frequencies (516 and 1086 Hz) and two durations (10 and 250 ms, respectively). Auditory brainstem responses (ABR) with the same electrode montages were also recorded. First results indicate that it may be possible to disentangle peripheral sources from central sources in both the FFRs and ABRs using this recording technique. If this is further validated, this technique may clarify the peripheral vs. central contributions to the reduction of FFR amplitudes in older participants.


Your dental crown is not meant to make a brief appearance in your smile before being replaced, or removed. Crowns need to exhibit real durability, because if your tooth needs a crown, that need will be permanent. Your enamel can heal after some minor harm, but when the damage grows too significant, that capacity will fall well short of what you need. If you suffer an advanced cavity, or notable dental damage from an injury, that harm is permanent. By fitting that tooth with a crown, you can enjoy sustained coverage. Once placed, your crown is tasked with taking on the pressures created whenever you chew, or bite into food. With the right material, your dentist can ensure that in addition to holding up for a long span of time, your crown will also fit in with your surrounding teeth.
Receiving Your Dental Crown
Receiving your dental crown will require two visits. The first appointment is centered around taking your measurements (so that your crown fits your specific needs), and preparing your tooth to receive it. You will return after your lab-made crown has arrived at your dentist’s office. Once placed, the crown should provide years of steady support.
Problem With Your Crown? See Your Dentist!
When you go in for a checkup, your dentist will check on your restorative dental work, just as they would check on your natural teeth. If, over the years, wear and tear have affected your restoration, they may suggest having it replaced. While this should take many years to occur, some patients – through neglect, or the bad luck of an accident – might need a crown sooner. If you think your crown has a problem, let your dentist know. After all, when your crown is damaged, it leaves a vulnerable tooth exposed.
Need A Dental Crown? Let Your Dentist Know!
A dental crown offers much-needed support to a vulnerable tooth. This restoration can withstand biting and chewing forces, and can offer years of protection. When you come in for restorative dental work – or for any other reason – the team at Mansfield Dental Associates can make sure you have the best possible experience. You can reach our office by phone at 817-473-6227 to schedule a consultation, or fill out our patient form online.Our office is located in Mansfield, TX, and we serve the surrounding areas, including South Arlington, Kennedale, Southeast Ft. Worth, Alvarado, Midlothian, and more.


"Inside the word “emergency” is 'emerge'; from an emergency new things come forth. The old certainties are crumbling fast, but danger and possibility are sisters." – Rebecca Solnit
This is not your typical ZOOM call. There will be no PowerPoints, no moderators, and no panel of speakers. For one hour, we invite you to join a conversation between two impassioned individuals discussing issues of resilience, over coffee! This three-part series is made up of light-hearted, informative, informal conversations. As we all grapple with the loss of lives and tremendous upheaval, together we can work to anticipate future needs.
This three-part series aims to use this time to plant seeds for transformation – not only to fix inequitable systems, but to explore new paths. We hope you’ll make yourself a cup of coffee or tea and join us! You can register for the full series or an individual session.
Resilience During Crisis: Session 2
While we are responding to the urgency of community challenges, we need to think about how philanthropic investments today can sow the seeds for creating equitable systems down the road. This session is about centering love, healing, culture and building people power to not only meet this critical moment, but also to ensure we have a “just recovery” and an equitable future we want to see.
Like previous disasters such as wildfires and floods, philanthropy has jumped into action. But what if disaster philanthropy went beyond a charity model focusing solely on immediate relief, but one that moves towards uniting leaders and building long-term power? What if those most affected by the disaster sat at the decision-making table to determine who, how, and where philanthropic resources should be allocated? What if we centered everything on love, healing, culture and building people power?
During this call, we will explore the following questions: How can philanthropic think beyond relief and invest in “just recovery”? What is “just recovery” and what does it look like? Why do love, healing, culture and building people power essential to building an equitable future? Speakers
Samantha is a passionate and dedicated equity champion committed to liberating and channeling capital into under-resourced communities. As the Senior Program and Grants Manager, Samantha supports grantmaking at LCF. She is dedicated to social justice and advancing equitable strategies to enhance social, environmental, and economic impact in Latino communities. Samantha has over ten years of experience in philanthropy, public health, and public policy. Prior to joining LCF, she served as grants manager for Youth UpRising, an Oakland-based organization investing in youth leadership, where she managed over $5.5 million in grants and contracts. She also worked at New Door Ventures, supporting the San Francisco-based organization’s $4 million annual fundraising campaign designed to help disconnected youth prepare for life and work. Previously, she worked at The California Wellness Foundation, where she supported grantmaking for two health portfolios totaling $18 million annually.
Samantha holds a BS from Santa Clara University and is currently completing her MA from Tufts University. In her free time, Samantha enjoys hiking, yoga, and live music.
Alan leads NCG’s and Philanthropy CA’s efforts to galvanize and coordinate philanthropy to strategically invest in reducing the frequency and lessoning the impacts of natural hazard events in California and in ensuring equitable disaster recovery. He received his PhD in emergency management with a focus on community resilience at Massey University in New Zealand. He still remembers his first lunch with Samantha talking about various resilience issues. While his professional experience includes leading a multi-year Bay Area-wide preparedness campaign at the American Red Cross, he values more of his ability to make plans on the fly for all types of life emergencies and outdoor adventures. He believes that hazard events, including pandemics, earthquakes, and wildfires, don’t have to turn into disasters if private and public sectors invest in the right things at the right time for those who are most at risk.
Angie was born and raised in Sonoma Valley as the oldest of 7 children and proud daughter of Mexican immigrants. Coming from a low income, mixed immigration status household she experienced firsthand the struggles and inequalities that many Latino families continue to live with today. At a young age, she understood that to overcome discrimination and inequalities we needed to ensure that Latinos have a place and a voice. That experience led to her commitment to non-profit work for more than twelve years focusing on enhancing the Latino economic, cultural, and civic leadership that reflects the population of the Latino community in Sonoma County. Most recently Angie was awarded the 2019 North Bay Business Journal Latino Leadership Award and North Bay Young Professionals 'Ones to Watch' for 2020.
Currently, Angie has been working on building a foundation to amplify and deepen the voice of Latinos through civic engagement. With the support of the Latino Community Foundation, she created a game called Censotería which is based on the popular Mexican game Lotería. The game was designed as a creative initiative to teach about the upcoming census in an educational, fun, and culturally relevant way. The game is now being used as part of the outreach strategy by other Latino led organizations all over California and other states to educate predominantly Latino immigrant communities about the importance of participating in the 2020 Census. Angie also serves on the board of the Hispanic Chamber of Commerce Sonoma County and the Hispanic Community Advisory Group for Sonoma Water. In her free time, she enjoys traveling, attending live music concerts, and BBQing with family and friends. Other events in this series Session 1: Resilience During Crisis | For program resources, contact registrar@ncg.org Session 3: Nonprofit Resilience Register > Target Audience
This program is open to NCG members and non-member funders.


Citizen Survey - Feeling Safe Safest City In America Status Indicators: Proceeding as Anticipated | Monitoring Progress | Reviewing for Improvement | Information Unavailable Status Indicators: Proceeding as Anticipated Monitoring Progress Reviewing for Improvement Information Unavailable Please note that Q1, Q2, Q3, and Q4 refer to the first, second, third, and fourth quarters of the Fiscal Year. The City’s Fiscal Year runs from October 1 st – September 30th and is denoted by FY. CY denotes Calendar Year.
Based on the November 2020 Citizen Satisfaction Survey, 93% of Sugar Land residents strongly expressed an overall feeling of safety in our City. This is 16% higher than the City’s target of 69%, which is the United States’ average response.*
*The question for the nationwide ETC study does not align exactly with the Sugar Land-specific safety question. The 77% target came from the national average of residents who answered "very satisfied" or "satisfied" to the "overall feeling of safety" question.
Question: "How satisfied are you with: Overall feeling of safety in my community".
Percentage of respondents who rated the item 4 or 5 on a 5-point scale, where 5 was "very safe" and 1 was "very unsafe," excluding "don't knows."
Performance better than or equal to the Citizen Survey’s United States average response to this question. The target is ≥
69%.
The ETC Institute, a full service call center for surveys, conducted the City's Citizen Survey in 2017, and so the target for this measure has its foundation in Citizen Survey data collected from the ETC Institute in the Southwest and the United States. The United States average is based on a survey the ETC Institute administered to over 4,000 randomly selected residents from all across the country, and the survey administered to over 300 residents living in Texas.
Creating a safe environment is a key goal of the City of Sugar Land and remains a priority of many City processes, projects, and initiatives.


Ivan Osokine, MD, PhD, Postdoctoral Fellow University of California, San Francisco Area of Research: All Cancers With current cancer models, it is difficult to dissociate the function of the tumor cells with the function of surrounding non-cancerous cells and tissues. However, the decidua—which supports the growth of a fetus while protecting it from the mother’s immune system—exhibits many of the properties of cancer-associated tissue and could offer a way to study how surrounding tissue influences tumor activity. However, although the placenta breaks through and damages decidual tissue, much like a tumor might its surrounding tissue, the decidua shows no biological signs of being wounded and demonstrates that tissues are capable of tightly regulating their local immune environment and response to wounding. Therefore, Dr. Osokine’s goal is to understand how. Recently, his team uncovered evidence that a molecular machine called PRC2 may control both wounding responses and immune responses within the decidua. Now, Dr. Osokine aims to more precisely characterize PRC2’s role in the decidua and explore the mechanisms that induce wound-like responses and how they contribute to or impede local immune activity. Unlocking the mystery behind the regulation of the decidua could shed light on how tumors regulate their surrounding tissue and ultimately aid the development of strategies to promote more effective immune responses against cancer. Projects and Grants Impact of epigenetic silencing on stromal control of fibrosis and immunity University of California, San Francisco | All Cancers | 2019 | Adrian Erlebacher, MD, PhD


Developmental Delays from Birth Injuries
Posted in Medical Malpractice on May 10, 2021
At certain stages in a child’s life, he or she is expected to meet developmental milestones for physical, emotional, and social skills. For example, a baby is expected to begin crawling by the time he or she reaches nine months. By the age of three, a toddler should be able to say his or her first name and age.
However, some children do not reach these milestones at the expected age, falling behind their peers. These developmental delays can occur for several reasons, from genetic conditions to maternal infections and birth injuries. If your child has sustained developmental delays due to birth injuries, you may have the right to file a medical malpractice claim against the at-fault healthcare provider.
Common Causes of Developmental Delays
Developmental delays often occur due to birth injuries, or injuries that occur at any time during the pregnancy. These injuries may arise during the labor or delivery process or occur due to an undetected condition during fetal development.
For example, an obstetrician may fail to monitor a baby’s heart rate during labor and the child may go without oxygen for a period of time. During the period of oxygen deprivation, the child may sustain permanent brain damage that impacts his or her function, leading to developmental delays later on,
Birth injuries that may lead to developmental delays include the following. Failure to order a caesarean section in an emergency situation Improper use of labor-inducing drugs Failure to notice signs of fetal distress Use of dangerous birthing tools, such as forceps or vacuums Use of excessive force to remove a child from the birth canal Failure to properly manage placenta problems Maternal infections, such as meningitis or Group B strep Uterine problems, such as a ruptured uterus A prolonged or difficult labor Perinatal asphyxia, or oxygen deprivation Filing a Medical Malpractice Claim for Developmental Delays
If your child sustained a birth injury and later experiences developmental delays, you may have grounds for a medical malpractice claim. However, you will need to prove that the medical provider’s negligence caused the injury and your child’s resulting condition. You will need to provide evidence to support four key elements.
The at-fault medical provider owed your child a duty of care. The at-fault medical provider breached his or her duty of care through a negligent act or omission. The at-fault provider’s breach of duty caused your child’s birth injury and resulting developmental delays. Your child sustained damages that you and your family can collect in the lawsuit.
To establish the at-fault provider’s negligence, you will need to prove that his or her actions deviated from the accepted medical standard of care. Under Missouri law, you will need to submit an Affidavit of Qualified Health Care Provider before you can file your claim. In this affidavit, you will need a medical professional to attest that the at-fault provider’s actions differed from what a reasonably prudent and similarly trained provider would have done under the same circumstances.
You will also need to prove that the provider’s actions caused the birth injury that subsequently led to your child’s developmental delays. You may need to enlist the help of a medical expert witness who can provide scientific evidence and testimony to support this claim.
If you are filing a medical malpractice claim in Missouri, you need an attorney on your side. A medical malpractice lawyer will guide you and your family through the process and gather the evidence that you need to establish your child’s right to compensation. Contact an attorney as soon as possible to discuss your legal options.


While the cause of cramps — and leg cramps in particular — is not well understood, dehydration, low levels of electrolytes, and muscle fatigue are common theories, especially when cramps occur during or after physical activity (
To help prevent or treat leg cramps, many individuals turn to sports drinks, pickle juice, or massage therapy, but one remedy you may not be as familiar with is mustard (
Usually used as a condiment for burgers and sandwiches, many people claim that mustard can help relieve cramps. However, the science behind it isn’t fully understood.
This article reviews the current research on the role of mustard as a remedy for leg cramps.
Still, there are several theories as to why some individuals report experiencing relief after ingesting it.
Some have theorized that the electrolytes in mustard, specifically sodium and potassium, can prevent leg cramps after exercise.
However, a study in nine healthy adults found that consuming mustard after a 2-hour bout of exercise did not fully replenish electrolyte losses due to sweating and dehydration (
Another theory is that the turmeric in mustard may help relax muscles and relieve leg cramps due to the spice’s anti-inflammatory properties. However, no research currently exists to support this theory.
Recently, researchers have suggested that mustard may help with leg cramps by activating sensors in the back of your throat. Specifically, molecules called isothiocyanates in mustard are thought to cause this activation (
Still, more research is needed to prove that mustard is effective for this purpose and that it works by this mechanism.
summary
No evidence supports the notion that mustard is an effective remedy for leg cramps. However, recent findings suggest that certain molecules in mustard may trigger various effects that could prevent muscles from cramping.
Currently, there’s a lack of scientific evidence on the effectiveness of using mustard to help treat or prevent muscle cramps.
Still, some individuals swear that this popular condiment really works.
Given that there aren’t studies to prove an effective dose, it’s unclear how much mustard is needed to help prevent or treat cramps. However, most anecdotal reports claim that 1–2 teaspoons (5–10 grams) are sufficient to see results.
Summary
Mustard is considered safe for most individuals. Yet, due to a lack of research, it’s unclear how much mustard you would need to take to prevent or treat leg cramps.
While many people claim that ingesting mustard can help ward off or treat leg cramps, evidence supporting its use for these purposes is currently lacking.
Still, recent studies have suggested a mechanism that may indicate that this popular condiment has the potential to help ward off leg cramps.
Despite a lack of scientific proof of its effectiveness for this purpose, for those who are curious to try it, the occasional use of mustard to prevent or get rid of post-exercise muscle cramps is likely safe for most individuals.


When a dentist performs sophisticated procedures like dental implants, they’ll frequently want to know what’s beneath the surface of your gums and teeth, which is where a CT scan comes in handy.
The CBCT (Cone Beam Computerized Tomography) scanner is a specifically constructed equipment that employs x-rays in a cone beam, primarily used for medical imaging.
A CT scan generates a sequence of high-quality x-ray pictures, which are then stitched together using modern computer technology to create a series of slices. A CBCT scanner, such as those used in dentistry, emits less radiation than larger-scale CT scans like those seen in your hospital outpatient department.
On a CT scan, what can be seen?
The position of the bone structures around your face, nasal cavity, and sinuses may be properly plotted by the dentist. This enables them to assess any current illness as well as arrange surgical therapies. Because a dental Cone Beam scanner lacks the same level of resolution as an outpatient CT scan, it cannot be utilized to assess soft tissue structures such as muscles, lymph nodes, nerves, or glands.
Why is a CBCT scan required by a dentist?
As the cost of a cone beam scanner decreases, more dental offices are purchasing this advanced piece of equipment, which they utilize largely for the following purposes:
-Prior to surgery, carefully arrange the placement of the dental implant.
-Bone amount is assessed prior to dental implant implantation, particularly in relation to sinus position and the possibility of grafting/sinus lift procedures.
-Prior to the implantation of dental implants, important nerve canals are evaluated and located.
-Surgical extraction of impacted wisdom teeth are being planned.
-Jaw tumour detection and surveillance.
-finding and diagnosing persistent pain’s pathological roots
How to get ready for a dental x-ray
You’ll be relieved to learn that a dental CT scan requires relatively little preparation.
During the scan, your dentist will require a good view of your head, face, and neck; any object that might interfere with the image should be removed.
-Earrings.
-Tongue piercings
-Piercings on the nose.
-Piercings on the face.
-Necklaces.
-Pins or hair grips
-Dental appliances that can be removed.
What can you expect from a CBCT scan?
Unlike outpatient CT scans at a hospital, which require you to lie down, a dental scan is typically performed while you are standing.
Simply stand in a designated location in front of the scanner, grasp the bars in front of you, and guides will be installed to keep your head still.
The scanner then spins around your head, capturing a sequence of pictures that are subsequently rearranged into a 3D x-ray by the software.
The entire procedure just takes a few minutes and is entirely painless.


In 2020, preventable fatalities from bicycle accidents increased by 16%, according to the National Safety Council (NSC). The NSC also noted that over the last decade, there was a total increase of 44% in preventable bicycle-related deaths.
These figures highlight the ongoing safety crisis for cyclists on American roadways.
Bicycle-related deaths and injuries: the statistics
According to the CDC, bicyclists account for 2% of all motor vehicle crashes. Approximately 1,000 people die each year from these accidents, and 130,000 become injured. These numbers will continue to increase unless widespread measures to prioritize road safety become implemented nationwide.
We see this trend reflected in the report from the NSC, which notes an increase in preventable nonfatal injuries of 5% between 2019 and 2020. Additionally, the newest data released by the National Highway Traffic Safety Administration (NHTSA) shows that bicyclist fatalities increased again in 2021 by 5%.
In the state of New Jersey specifically, there were 30 preventable bicycle-related fatalities between 2019 and 2020. As of 2021, the number of deaths reached its highest single-year total thus far, with 27 individuals lost. Hopefully, these numbers will decrease in the coming years as legislative efforts are implemented to improve cyclist safety.
Legislation addressing the bicycle fatalities crisis
With the continual increase in motor vehicle fatalities and the increase in injuries sustained by these accidents, both state and federal legislatures have implemented new measures to address street safety.
The following legislation seeks to reduce the number of crashes and fatalities involving bicyclists, pedestrians, and others using a method of personal conveyance.
New Jersey’s Safe Passing Law
New Jersey has implemented its Safe Passing Law, laying out new driver requirements. When approaching someone using a method of personal conveyance such as a bicycle, electric scooter, or a pedestrian, drivers must do the following:
Move over one lane to allow for extra space while passing. If moving over one lane is not possible, drivers must allow for four feet of space while approaching and passing. If neither moving nor allowing four feet of space is possible without violating traffic laws, drivers must reduce the vehicle’s speed to 25 mph and be prepared to stop.
Drivers who violate New Jersey’s Safe Passing Law will incur a $100 fine if the violation does not result in personal injury. However, they will incur two motor vehicle penalty points, and the fine will be $500 if the offense results in bodily injury to pedestrians, cyclists, or others using a method of personal conveyance.
The Bipartisan Infrastructure Law
The Bipartisan Infrastructure Law signed by President Biden on November 15th, 2021, authorizes up to $550B of funding between 2022 and 2026 to invest in America’s infrastructure, including support for safety improvements on our roads.
Safe Streets and Roads for All Program
The Safe Streets and Roads for All Program (SS4A) is a new grant program included in the Bipartisan Infrastructure Law that allocates $6B in funding over the next five years. The program seeks to fund local efforts to reduce roadway crashes and fatalities.
Eligible applicants for the SS4A grant include:
Metropolitan planning organizations Political subdivisions of a State Members of a federally recognized Tribal government Multi-jurisdictional groups of the entities above
Also, according to the Federal High Administration, the use of SS4A funds must only be used for:
Development of a comprehensive safety action plan Planning, designing, and developing activities for initiatives identified in the safety action plans Implementing the projects and strategies identified in the safety action plan. We are here to help
The legislation passed by the Biden administration and the state of New Jersey is a crucial step in addressing the safety crisis on American roads. However, we have a long road ahead of us when it comes to resolving this nationwide problem.
If you’ve incurred an injury in a bicycle accident, reach out to the experienced personal injury attorneys of the Stark & Stark legal team. We are dedicated to obtaining the financial support you need to cover your accident-related expenses.
Contact us today to speak with an experienced attorney and have your questions answered.


If you submitted a valid claim to your insurance company and it was wrongfully denied, you may be eligible to file a lawsuit to recover the damages you are entitled to receive. Your automobile, homeowners, or life insurance policy is a legally binding contract between you and your insurance carrier. This document specifies exactly what financial compensation you are eligible to claim, which perils or losses are covered, the conditions which must be met for you to pursue financial compensation, and other relevant details. If you are a resident of Monongalia, Tyler, Wetzel, Hancock, Ohio, Brooke, or Marshall County, West Virginia involved in a dispute over your rightful insurance claim, contact Angotti & Straface Attorneys at Law immediately.


The high accuracy, availability and integrity of Trimble’s precision positioning solutions is derived from a set of hardware and software innovations that are collectively known as Maxwell™ 7 Technology. At the core of the technology is the Maxwell™ 7 baseband GNSS ASIC (application-specific integrated circuit). This is the 7th generation ASIC in the Maxwell family and has been designed to maximize the quality of observables derived from all signals transmitted from all navigation constellations. Complementing the Maxwell™ 7 GNSS ASIC is Trimble’s custom designed RF ASIC (one for each band). This chip converts the analog L-band and S-Band GNSS signals into digital inputs to the Maxwell™ 7 ASIC. The measurement observables are finally delivered to the companion processor subsystem (CPU, RAM, Flash,) to compute position and attitude at rates up to 100Hz. We shall now review the real-world advantages of Maxwell™ 7 Technology and how it improves application productivity.
Track all available GNSS Signals
Over the last 20 years we have seen major changes in the world of satellite navigation. We have moved from relying on the GPS constellation to now including satellites from GLONASS, BeiDou, Galileo, QZSS and NavIC constellations. This has allowed us to operate in environments where the direct signal from the satellites is regularly blocked. Today we regularly have more than 40 satellites available in the sky. In addition to the number of satellites we also have more signals transmitted by each satellite. In the past we typically used two signals from each satellite (dual-frequency) for centimeter positioning in real time. Receivers using Maxwell™ 7 technology utilize up to three signals (triple frequency) from each satellite. All these measurements result in increased availability of positioning and less project downtime. More measurements also improve the integrity of the solution, allowing identification and elimination of erroneous signals. Additional channels are dedicated to tracking geostationary satellites transmitting GNSS corrections from SBAS or Trimble’s RTX and OmniSTAR services.
Stronger Tracking of Signals
GNSS receivers track very low-power signals transmitted from satellites. This tracking is made even more difficult in challenging environments such as urban canyons, high dynamics and regions experiencing high ionospheric activity. Maxwell™ 7 technology utilizes advanced phase and frequency tracking on all frequencies to deliver stronger signals with the ability to quickly transition back to multi-frequency phase measurements once a satellite returns in view. Multi-frequency measurements are essential for both RTK and RTX positioning engines to deliver centimeter accuracy without long periods of initialization.
Reduced Size and Power
Both the Maxwell™ 7 baseband and RF ASIC are smaller than the previous generation even though the number of physical correlators and channels has increased. This has allowed Trimble to develop smaller products or increase functionality within the same physical footprint. For example, we can now develop heading receivers with dual antenna inputs in the same footprint as single antenna receivers from the past. The ASIC’s are also significantly lower in power consumption resulting in a 15% overall reduction in the total receiver’s power requirement. For products operating on batteries this is a welcome addition and the reduction in heat generated adds to the longevity of the product, extending the replacement lifecycle.
Advanced Multipath Mitigation with Everest Plus™
With the introduction of Maxwell™ 7 Technology Trimble has significantly improved the multipath mitigation performance with a patent pending technique known as Everest Plus. A separate technical bulletin “Trimble Maxwell™ 7 Technology – Advanced Multipath Mitigation with Everest™ Plus” provides an overview of how Trimble receivers provide this improvement.
Interference Detection with Onboard RF Spectrum Analysis
GNSS users and developers face the challenge of unwanted signals interfering with the low-power signals transmitted from satellites. This can disrupt productivity or slow development of new products. With the introduction of Maxwell™ 7 Technology, Trimble has added the ability to monitor and analyze the signals received in each of the GNSS frequency bands using the receiver’s graphical user interface. A separate technical bulletin “Trimble Maxwell™ 7 Technology – Interference Detection with Onboard RF Spectrum Analysis” provides an overview of how this onboard Spectrum Analyzer feature helps users identify interference on the bench or post-mission and take steps to remove.
Protection against Spoofing Attacks
With the introduction of Maxwell™ 7 Technology, Trimble has added several technical innovations that improve the protection from the increasing threat of false GNSS signals. These false or spoofed signals could potentially result in a receiver calculating positions in error by many kilometers. This is not to be confused with jamming, which also disrupts positioning by transmitting strong undesired signals that overload the GNSS receiver’s RF or signal processing. However, in the jamming scenario, while the receiver has difficulty calculating a position, it will generally not be in the wrong location. A separate technical bulletin “Trimble Maxwell™ 7 Technology – Protection Against GNSS Spoofing” provides an overview of how Trimble receivers provide this improvement.


AI-driven clinical decision support (CDS) shows great promise in enabling laboratories to expand the value they offer beyond just test results. By incorporating AI-based predictive models* into the lab's existing workflow, routine blood test results could be leveraged to support the early identification of patients at risk of specific diseases. Join us as we broadcast live from AACC-Chicago and learn what we're doing to advance CDS and what it means for the lab.
*For educational purposes only. Not for clinical or patient care, diagnosis, treatment, or to cure or prevent any disease. Availability varies by country.


DailyBreeze.comLos Angeles CAFeb 15, 2011
When a loved one dies suddenly and there’s no funeral plan in place, orchestrating a funeral can be a daunting task and an expensive undertaking for the family members or friends who step in. The average cost of a typical funeral is now $7,755, and that only covers the basics. Flowers, monuments, a gravesite and even the obituary are additional and can add thousands to the tab.
If individuals – alone or with family – engage in pre-planning, costs can be reduced and the family can focus on honoring their loved one, not just on details.
Read the full article at DailyBreeze.com


Removing Tire Marks from Brick Things You Will Need
Bucket
Liquid detergent
Scouring powder
Nonmetallic scrub brush
Garden hose
Tip
For stubborn tire marks, use a commercial cleaner designed specifically for cleaning brick.
Warning
Cleaning the bricks with a cleaner designed to clean tires may discolor the bricks.
Brick pavers add visual appeal and charm to driveways and walkways. A less expensive asphalt driveway is as functional as one made of brick, yet not as attractive. While you might be willing to accept tire marks on an asphalt driveway, letting the dark marks remain on a brick driveway detracts from the surface’s overall charm. Fortunately, it is possible to scrub off the marks using common household products. Before cleaning the bricks, always test the cleaning product on an inconspicuous area, to make sure the cleaner won’t discolor the surface.
1.
Fill a bucket with hot water and add several squirts of liquid detergent.
2.
Sprinkle the scouring powder over the tire mark.
3.
Dip the scrub brush in the bucket of soapy water.
4.
Lift the brush out of the water and use the wet bristles to scrub the tire mark.
5.
Add more scouring powder if needed.
6.
Re-dip the brush in water; continue to scrub until the tire mark disappears.
7.
Rinse the surface with your garden hose to remove all the scouring powder and detergent.
References
Writer Bio
Ann Johnson has been a freelance writer since 1995. She previously served as the editor of a community magazine in Southern California and was also an active real-estate agent, specializing in commercial and residential properties. She has a Bachelor of Arts in communications from California State University, Fullerton.


Although applied sport psychology services have traditionally been provided in athletic settings, there has been a trend toward a more general application across different performance domains and, in particular, with tactical populations (i.e., military, law enforcement, and firefighters). The purpose of the current study was to systematically review the existing research on mental qualities and techniques in tactical populations. A database search revealed 7,220 potentially relevant articles, which were screened by two independent reviewers based on predefined inclusion criteria. This systematic screening process helped to identify 49 articles for further analysis. The findings highlight the benefits of developing mental qualities and techniques among tactical populations, as they can help to nurture a range of positive cognitive, affective, and behavioral outcomes. Yet, this review also indicates gaps and limitations that need to be addressed in future research to gain a better understanding of the antecedents, mediators, and consequences of these psychological constructs.
Search Results Johannes Raabe, Elmer Castillo, and Johannes Carl Craig A. Wrisberg and Johannes Raabe
This case study depicts the approach taken by a sport psychology consultant who worked with an elite college football place kicker from the beginning of the individual’s freshman year to the end of his senior competitive season. The player expressed an interest in adding mental training to his conventional practice habits to manage the mental and emotional demands he expected to face throughout his career at the National Collegiate Athletic Association (NCAA) Division I level. The consultant used an approach rooted in the philosophy of existential phenomenology, referred to as phenomenological consulting. The effectiveness of interventions was determined by the player’s description of his experience and reflections of the consultant. The present study represents an example of the benefits athletes might derive from a phenomenological approach to long-term performance consulting.
Johannes Raabe, Tucker Readdy, and Rebecca A. Zakrajsek
Coaching is characterized by an inherent
pathos between the goals coaches hope to accomplish and those that are realized (Jones & Wallace, 2005). Coaches can actively enhance the likelihood of optimal outcomes through orchestration, a process of incremental coping intended to create improvement in performance (Jones & Wallace, 2005). The current study explored to what extent pathos also manifests in the lives of elite athletes and whether they engage in processes consistent with orchestration. Semistructured interviews were conducted with 12 National Collegiate Athletic Association Division I student-athletes. Primarily deductive analysis of the qualitative data provided confirmation for four domains: (a) sources of ambiguity created by coaches, (b) other sources of ambiguity within student-athletes’ experiences, (c) attempted strategies for orchestrating the pathos, and (d) relationships are crucial for navigating the pathos. The findings potentially offer an approach to understanding the challenges athletes face, which allows coaches to more accurately provide assistance. Tucker Readdy, Rebecca Zakrajsek, and Johannes Raabe
Sport coaching is marked by a pathos created by limited control and limited awareness, contradictory beliefs, and novelty. Still, coaches can enhance the likelihood of optimal outcomes through orchestration, a process marked by unobtrusive, flexible actions that enhance athletes’ ability to work toward competitive goals (Jones & Wallace, 2005). This research sought to create a detailed understanding of pathos and orchestration in collegiate coaching. Participants were 10 head coaches from National Collegiate Athletic Association universities. Analysis of semistructured interviews produced four themes: (a) true control is limited but attempted control is extensive, (b) orchestration strategies are varied in context and method, (c) relationships enhance the effectiveness of the orchestration process, and (d) planning the next step allows for relative stability in the pathos. These results expand our understanding of pathos and orchestration, suggesting the concepts have promise in educating coaches about sources of adversity and the means to mitigate them.
Johannes Raabe, Kim Tolentino, and Tucker Readdy
According to basic psychological needs theory, the quality of individuals’ cognition, affect, and behavior is determined by their perceptions of autonomy, competence, and relatedness. The purpose of this study was to investigate National Collegiate Athletic Association Division I assistant coaches’ basic psychological need satisfaction and frustration and the respective influence of the behavior of the head coach for whom they work on those perceptions. A total of
N = 445 National Collegiate Athletic Association Division I assistant coaches (191 women and 254 men; M age = 34.9 ± 9.6 years) participated in the research. Participants reported relatively high levels of both satisfaction and frustration (i.e., compared with previous research) for all three basic psychological needs. A structural equation model (root mean square error of approximation = .06; comparative fit index = .95; Tucker–Lewis index = .95; standardized root mean square residual = .04) indicated that participants’ need satisfaction was significantly associated with the degree to which they perceived their head coaches to engage in need-supportive, need-thwarting, and need-indifferent behavior. Similarly, perceived need-supportive and need-thwarting behavior was also related with assistant coaches’ sense of need frustration. Findings highlight not only the importance of head coaches in shaping assistant coaches’ psychological functioning but also multiple important avenues for future research. Kim Tolentino, Tucker Readdy, and Johannes Raabe
Workaholism (i.e., working excessively and compulsively) is associated with negative physical, psychological, and social consequences. Researchers have previously examined antecedents of workaholism, but the experiences of sport coaches have not yet been investigated. This study explored (a) differences in National Collegiate Athletic Association Division I coaches’ workaholism, as well as need satisfaction and frustration based on gender, coaching role, gender of athletes coached, age, and years of coaching experience; and (b) how coaches’ perceptions of their three basic psychological needs are associated with tendencies to work excessively and compulsively. A total of 873 National Collegiate Athletic Association Division I coaches participated in the research. Data analyses revealed significant differences in participants’ workaholism as well as need satisfaction and frustration. Structural equation modeling indicated a significant relationship between reported levels of workaholism and perceptions of the three needs. Findings illustrate the importance of basic psychological needs in preventing coaches’ workaholism and maintain optimal functioning.
Johannes Raabe, Katrin Schmidt, Johannes Carl, and Oliver Höner
Researchers consider motivation a key determinant of physical activity. In physical education (PE) and youth sport, the more children and adolescents evaluate their teachers and coaches to be autonomy supportive, as opposed to controlling, the more self-determined they are in their motivation. Therefore, it appears valuable to help PE teachers and youth sport coaches optimize their interactions with the individuals they work with. This study was designed to systematically review the literature related to autonomy support interventions with PE teachers and youth sport coaches. After relevant databases were searched and duplicates were removed, 1,523 potentially pertinent articles were found. These were subsequently screened based on specific inclusion criteria. This systematic review process helped identify 21 studies that were included for further analyses. Overall, the interventions were frequently successful in enhancing PE teachers’ and youth sport coaches’ behavior. Additional research appears justified to foster self-determined motivation among children and adolescence.
Johannes Raabe, E. Earlynn Lauer, and Matthew P. Bejar
Mental toughness (MT) enables individuals to thrive in demanding situations; however, current conceptualizations of MT are primarily based on research with elite adult athletes. Thus, the purpose of the current study was to explore youth sport coaches’ perceptions of mentally tough adolescent athletes with whom they have worked. Phenomenological interviews were conducted with 14 youth sport coaches (nine men and five women). Using a hermeneutic process, a thematic structure comprising five themes was developed: (a) Youth athletes demonstrate their MT by overcoming various obstacles, (b) mentally tough youth athletes are highly self-determined with respect to their sport participation, (c) mentally tough youth athletes control their emotions in competition, (d) mentally tough youth athletes focus on aspects that facilitate their performance, and (e) mentally tough youth athletes are good teammates. These findings not only complement existing conceptualizations of MT but also highlight important distinctions in the manifestation of the construct in early to middle adolescents.
Svenja Wachsmuth, Johannes Raabe, Tucker Readdy, Damir Dugandzic, and Oliver Höner
Coaches are among the most important agents for young football talents’ development. Their coaching style may impact not only players’ skill acquisition but also their motivation to meet their full potential. This study begins by presenting an intervention promoting need-supportive coaching to facilitate holistic talent development within the German Football Association (Deutscher Fußball-Bund [DFB]). The intervention was grounded in Deci and Ryan’s self-determination theory and designed as a hybrid model of coach education (i.e., online and in-present elements). In addition, DFB competence center coordinators were utilized as multipliers to reach a large population of approximately 1,300 coaches across Germany. The specific aim of this paper is to examine how these coordinators experienced the development and implementation process of the intervention. Utilizing a mixed-methods approach, coordinators’ satisfaction and experiences with the intervention were evaluated via a quantitative online survey (
n = 23) and qualitative follow-up interviews ( n = 8). Overall, the findings suggest that the presented approach may be suitable to address potential barriers in coach education, such as gaining coaches’ buy-in, transferring scientific knowledge into practice, and supporting long-term behavioral modifications in coaches. Specific recommendations (e.g., knowledge translation, gaining buy-in) for designing future interventions are highlighted. Johannes Raabe, Andrew D. Bass, Lauren K. McHenry, and Rebecca A. Zakrajsek
Approximately 90% of players in Minor League Baseball will be released at some point in their career. The purpose of this study was to qualitatively explore the role of individuals’ basic psychological needs during the release from professional baseball and throughout their subsequent transition to a new career. Semistructured interviews were conducted with 12 former Minor League Baseball players. Thematic analysis generated four themes: (a) The release resulted in immediate but temporary basic psychological need thwarting, (b) the “liberating experience” of the release allowed individuals to perceive autonomy in the transition out of affiliated baseball, (c) perceptions of competence served as the foundation for a positive transition to a new career, and (d) meaningful connections fostered individuals’ perception of relatedness in the transition out of affiliated baseball. The findings suggest that need fulfillment might act as a buffer between potential stressors in the transition process and athletes’ cognitive, emotional, and behavioral response.


ABSTRACT
Am J Epidemiol
The potential association between sickle cell trait (SCT) and increased arterial stiffness/blood pressure (BP) has not been evaluated in detail despite its association with stroke, sudden death, and renal disease. We performed 24-hour ambulatory BP monitoring and arterial stiffness measurements in adolescents raised in a malaria-free environment in Kenya. Between December 2015 and June 2016, 938 randomly selected adolescents (ages 11-17 years) who had been continuous residents of Nairobi from birth were invited to participate in the study. Standard clinic BP measurement was performed, followed by 24-hour ambulatory BP monitoring and arterial stiffness measurement using an Arteriograph24 (TensioMed Ltd., Budapest, Hungary) device. SCT status was determined using DNA genotyping in contemporaneously collected blood samples. Of the 938 adolescents invited to participate, 609 (65%) provided complete data for analysis. SCT was present in 103 (15%). Mean 24-hour systolic and diastolic BPs were 116 (standard deviation (SD), 11.5) mm Hg and 64 (SD, 7) mm Hg, respectively, in children with SCT and 117 (SD, 11.4) mm Hg and 64 (SD, 6.8) mm Hg, respectively, in non-SCT children. Mean pulse wave velocity (PWV) was 7.1 (SD, 0.8) m/second and 7.0 (SD, 0.8) m/second in SCT and non-SCT children, respectively. We observed no differences in PWV or in any clinic or ambulatory BP-derived measures between adolescents with and without SCT. These data suggest that SCT does not independently influence BP or PWV.
Etyang, A. O., Wandabwa, C. K., Kapesa, S., Muthumbi, E., Odipo, E., Wamukoya, M., Ngomi, N., Haregu, T., Kyobutungi, C., Williams, T. N., Makale, J., Macharia, A., Cruickshank, J. K., Smeeth, L., Scott, J. A. G.
Pages:199-205, Volume:187, Edition:10/11/2017, Date,Feb-01
Link: https://www.ncbi.nlm.nih.gov/pubmed/28992220
Notes:Etyang, Anthony O|Wandabwa, Christopher K|Kapesa, Sailoki|Muthumbi, Esther|Odipo, Emily|Wamukoya, Marylene|Ngomi, Nicholas|Haregu, Tilahun|Kyobutungi, Catherine|Williams, Thomas N|Makale, Johnstone|Macharia, Alex|Cruickshank, J Kennedy|Smeeth, Liam|Scott, J Anthony G|eng|098532/WT_/Wellcome Trust/United Kingdom|MR/N015959/1/MRC_/Medical Research Council/United Kingdom|WT_/Wellcome Trust/United Kingdom|103951/Z/14/Z/WT_/Wellcome Trust/United Kingdom|091758/WT_/Wellcome Trust/United Kingdom|098504/WT_/Wellcome Trust/United Kingdom|Research Support, Non-U.S. Gov’t|2017/10/11 06:00|Am J Epidemiol. 2018 Feb 1;187(2):199-205. doi: 10.1093/aje/kwx232.
ISBN: 1476-6256 (Electronic)|0002-9262 (Linking) Permanent ID: PMC5860135 Accession Number: 28992220
Author Address: KEMRI Wellcome Trust Research Programme, Kilifi, Kenya.|London School of Hygiene and Tropical Medicine, London, United Kingdom.|African Population and Health Research Center, Nairobi, Kenya.|Imperial College London, London, United Kingdom.|King’s College London, London, United Kingdom.
STATISTICS


Our nation’s abundant public lands are a source of pride for all Americans. Unfortunately, despite being owned by the American public as a whole many of those public lands are inaccessible due to the patchwork of public and private land holding patterns. With almost 16 million acres of combined state and federal land inaccessible in the West, lack of public access to public lands is a pervasive issue in need of fixing. In Wyoming, HB 122 takes a proactive approach to addressing this issue head-on.
On Friday, April 2, 2021, Governor Gordon enacted HB 122 into law, securing a significant win for Wyoming’s public land users.


While remodeling your home can make it more convenient and comfortable for your family, some renovations can also increase the value of your house. Remodeling the bathroom can be a good investment, provided you make some smart decisions.
Recently, David Greene, co-host of the BiggerPockets podcast and a nationally renowned author and speaker, wrote an article in Forbes explaining how investing in real estate could help build wealth. Many of the points he made also apply to a family owning their own home. Here are a few:
“Homeownership has cemented its role as part of the American Dream, providing families with a place that is their own and an avenue for building wealth over time. This ‘wealth’ is built, in large part, through the creation of equity…Building equity through your monthly principal payments and appreciation is a critical part of homeownership that can help you create financial stability.”
When thinking about selling, homeowners often feel they need to get their house ready with some remodeling to make it more appealing to buyers. However, with so many buyers competing for available homes right now, renovations may not be as vital as they would be in a more normal market.


We have previously observed that stepwise replacement of amino acid residues in the nascent base-pair binding pocket of RB69 DNA polymerase (RB69pol) with Ala or Gly expanded the space in this pocket, resulting in a progressive increase in misincorporation. However, in vivo results with similar RB69pol nascent base-pair binding pocket mutants showed that mutation rates, as determined by the T4 phage rI forward assay and rII reversion assay, were significantly lower for the RB69pol S565G/Y567A double mutant than for the Y567A single mutant, the opposite of what we would have predicted. To investigate the reasons for this unexpected result, we have determined the pre-steady-state kinetic parameters and crystal structures of relevant ternary complexes. We found that the S565G/Y567A mutant generally had greater base selectivity than the Y567A mutant and that the kinetic parameters for dNMP insertion, excision of the 3'-terminal nucleotide residue, and primer extension beyond a mispair differed not only between these two mutants but also between the two highly mutable sequences in the T4 rI complementary strand. Comparison of the crystal structures of these two mutants with correct and incorrect incoming dNTPs provides insight into the unexpected increase in the fidelity of the S565G/Y567A double mutant. Taken together, the kinetic and structural results provide a basis for integrating and interpreting in vivo and in vitro observations.


Abstract
Runx proteins mediate skeletal development. We studied the regulation of Runx1 during chondrocyte differentiation by real-time RT-PCR and its function during chondrogenesis using overexpression and RNA interference. Runx1 induces mesenchymal stem cell commitment to the early stages of chondrogenesis. Introduction: Runx1 and Runx2 are co-expressed in limb bud cell condensations that undergo both cartilage and bone differentiation during murine development. However, the cooperative and/or compensatory effects these factors exert on skeletal formation have yet to be elucidated. Materials and Methods: Runx1/Cbfa2 and Runx2/Cbfa1 were examined at different stages of embryonic development by immunohistochemistry. In vitro studies used mouse embryonic limb bud cells and assessed Runx expressions by immunohistochemistry and real-time RT-PCR in the presence and absence of TGFβ and BMP2. Runx1 was overexpressed in mesenchymal cell progenitors using retroviral infection. Results: Immunohistochemistry showed that Runx1 and Runx2 are co-expressed in undifferentiated mesenchyme, had similar levels in chondrocytes undergoing transition from proliferation to hypertrophy, and that there was primarily Runx2 expression in hypertrophic chondrocytes. Overall, the expression of Runx1 remained significantly higher than Runx2 mRNA levels during early limb bud cell maturation. Treatment of limb bud micromass cultures with BMP2 resulted in early induction of both Runx1 and Runx2. However, upregulation of Runx2 by BMP2 was sustained, whereas Runx1 decreased in later time-points when type X collagen was induced. Although TGFβ potently inhibits Runx2 and type X collagen, it induces type II collagen mRNA and mildly but significantly inhibits Runx1 isoforms in the early stages of chondrogenesis. Virus-mediated overexpression of Runx1 in mouse embryonic mesenchymal cells resulted in a potent induction of the early chondrocyte differentiation markers but not the hypertrophy marker, type X collagen. Knockdown or Runx1 potently inhibits type II collagen, alkaline phosphatase, and Runx2 and has a late inhibitory effect on type X collagen. Conclusion: These findings show a distinct and sustained role for Runx proteins in chondrogenesis and subsequent chondrocyte maturation. Runx1 is highly expressed during chondrogenesis in comparison with Runx2, and Runx1 gain of functions stimulated this process. Thus, the Runx genes are uniquely expressed and have distinct roles during skeletal development.
Keywords Chondrocytes Runx1/Cbfa2 Runx2/Cbfa1 Skeleton Transcription


Uittreksel
Following a request from the European Commission, the Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) was asked to deliver a scientific opinion on the safety and efficacy of GalliPro® Fit (Bacillus subtilis DSM 32324, B. subtilis DSM 32325 and Bacillus amyloliquefaciens DSM 25840) when used as a zootechnical additive in feed and water for drinking for all poultry species for fattening or reared for laying/breeding. The two bacterial species present in the additive are considered suitable for the qualified presumption of safety (QPS) approach to safety assessment. The identity of the active agents was established and the lack of toxigenic potential confirmed. The strains did not show resistance to relevant antibiotics. Therefore, the additive was presumed safe for the target species, consumers and the environment. In the absence of data, no conclusions could be drawn on the skin/eye irritancy or skin sensitisation of the additive. Due to the proteinaceous nature of the active agents, the additive was considered a respiratory sensitiser. The Panel concluded that GalliPro® Fit is compatible with diclazuril, decoquinate and halofuginone. However, the data provided did not allow to conclude on the compatibility of the additive with other coccidiostats. The Panel concluded that the additive has a potential to be efficacious in chickens for fattening at 1.6 × 109 CFU/kg feed and at 5.4 × 108 CFU/L water for drinking. The conclusion was extrapolated to all other poultry species for fattening or reared for laying/breeding. The results from the study in turkeys support this conclusion.


Two YQI members, David Moore and Shruti Puri were awarded the Arthur Greer Memorial Prize for Outstanding Scholarly Publication or Research recognizes outstanding research conducted by ladder faculty members in the social or natural sciences, broadly construed, who are untenured at the time that the work is completed or published.
David Moore, Department of Physics (FAS)
David Moore’s research lies at the intersection of nuclear and particle physics, and makes use of techniques from atomic, molecular, and optical physics. As an experimental nuclear and particle physicist his work tests the fundamental nature of neutrinos, dark matter, and gravity at microscopic distances. Through this work, he has developed new technologies to search for physics beyond the “Standard Model” of particle physics; these experiments aim to unearth answers to questions about the fundamental nature of neutrinos, dark matter, and dark energy.
Shruti Puri, Department of Applied Physics (SEAS)
Shruti Puri is a theoretical physicist who focuses on quantum information processing theory and quantum optics. Her work addresses the open questions and challenges of developing useful quantum technologies, with a particular emphasis on quantum computing. Puri has developed new strategies for robust quantum computing systems, and she has been recognized with numerous awards for this work, including a Faculty Early Career Development (CAREER) award from the National Science Foundation.


June 7, 2017 Posted by: Sage Shield Safety Consultants Category: Global Safety News
When children are experiencing bullying in the playground, or our teens are being bullied across social media, we feel outrage and as a community, we tend to rally behind the victims, advocating for their rights to exist in a world free from victimisation and harassment.
We understand that the emotional, psychological and physical impact of bullying changes the brain chemistry of our children and can impact the way they perceive themselves and the world. Research out of Yale University indicates that bullied victims are seven to nine per cent more likely to consider suicide. We run anti-bullying programs in schools. And yet, when we grow up and enter the workplace, our staunch advocacy for bully victims is silenced.
Workplace bullying is defined as repeated ‘unreasonable behaviour’ directed towards a worker or a group of workers resulting in a risk to health and safety. It often involves an abuse of power and the incidents of bullying are deliberate and targeted with the intent of causing distress.
As adults, we fear being seen as weak, we are afraid of retribution and making the situation worse, and we worry that by acknowledging that we are experiencing bullying, we are admitting a personal failure. For many of us, we suffer it in silence and often, the situation continues to get worse until our performance is impacted so severely that we find ourselves in disciplinary action, or worse, out the door.
The impact of bullying in the workplace is widespread. Beyond the emotional, psychological and physical consequences that the individual feels, repercussions are felt throughout the organisation, with lowered productivity, disruption and broken relationships, together with heightened absenteeism, staff turnover and related costs. With an estimated cost of the average workplace bullying case for employers numbering $ 17k-$ 24k, you would think that genuine prevention would be a priority in the workplace. However, reports indicate that bullying in Australian workplaces continues to be rife.
There are many systems, organisations and watchdogs in place designed to address workplace bullying, and workplace bullying policies are now expected to be included in WHS policies, but even with these in place, employees don’t feel any less alone when faced with a bully. This is largely because the systems and programs that address workplace bullying rarely investigate every claim made, and when they do investigate, they are reportedly handled poorly and are largely focused on the individual rather than the broader systemic problem.
When complaints are made to the relevant state organisation, the investigation focus is on the victim with extensive insurance private investigations and surveillance undertaken, repeated compulsory visits to psychiatrists for assessment after assessment, resulting in victims feeling further victimised, harassed, stalked and at fault while their mental and physical health spirals.
It is time that we stood up for our adult members of our community as much as we do for our children. It’s not okay to be bullied at school, online or at work and we need to start positive conversations of support for those of us experiencing bullying in the workplace and advocating for the rights of our colleagues while demanding organisations be held accountable for their duty of care to their staff. If you or someone you care about needs support, call Lifeline on 13 11 14.


Data from: The evolution of social monogamy in primates is not consistently associated with male infanticideDieter Lukas & Tim Clutton-Brock
Comparative analyses suggest that monogamous breeding systems evolved in mammals where feeding competition reduces range overlap between breeding females, preventing males from guarding more than one female at at time. In contrast, a recent analysis for primates suggests that monogamy evolved as a form of paternal care that reduces the risk of male infanticide. Here we re-examine the distribution of monogamy in primates and attempt to explain the contrasting results of the two analyses.
1 citation reported since publication in 2015.


Dear Beloved in Christ,
God is with us!
On Monday, I encouraged the practice of daily anointing with blessed oils. Perhaps even more important than this is the regular partaking of holy water. Each Theophany we receive a bottle of holy water. It is both an aid in our journey of theosis and a powerful weapon against the evil one, as we can see in the litanies from the Service of the Great Sanctification of the Waters:
-That we may be illumined with the Light of Knowledge and Piety through the descent of the Holy Spirit, let us pray to the Lord. -That this water may become the gift of sanctification, redemption from sins, for the healing of soul and body, and for every suitable purpose, let us pray to the Lord. -That it may become water welling up to eternal life, let us pray to the Lord. -That this water may prove effectual for the averting of every plot of visible and invisible enemies, let us pray to the Lord. -That it may be for the purification of soul and body to all who with faith take and drink of it, let us pray to the Lord. -That we may be granted to be filled with sanctification through drinking this water, by the invisible manifestation of the Holy Spirit, let us pray to the Lord.
Furthermore, the prayer during this service asks God to impart into the holy water these powers:
And give to it the grace of redemption and the blessing of Jordan. Make it a source of incorruption, a gift of sanctification, a deliverance from sins, an averting of diseases, unapproachable by hostile powers, filled with angelic strength. That all who draw from it and partake of it may have it for cleansing of souls and bodies, for healing of passions, for sanctification of homes, for every suitable purpose.
As we can see, the gifts that are imparted to holy water are numerous. Yet for some of us, after the service on Theophany we take this bottle home and place it by our prayer corner, where it is rarely or never consumed.
Instead, I encourage you to have a sip of holy water
before you have anything to eat or drink. (Say a brief prayer at the time as well.) God, in His love for us, has given us this powerful medicine for soul and body, and for protection against evil. And every day we need this medicine—especially in the present situation. every morning,
If you need holy water, please come to the church office and ask for a bottle. And if you are unable to leave your home, contact me directly.
May our Lord’s holy water, His “gift of sanctification,” bless you each and every day.
In Christ,
Father Matthew


Every human needs to grow; it is an inborn trait in the species. Sometimes, that trait manifests itself into real, significant growth, but sometimes, it is channeled into lesser pursuits. A sure sign of this is when someone incessantly chases after something that never satisfies him. The multi-millionaire who constantly seeks more money, the king who goes to war to expand the boundaries of his already-secure territory – these are manifestations of the need for growth, incorrectly channeled.
This need for growth stems from the
neshoma of man, from his soul. Man was placed on this planet for the sole purpose of growth. If he fulfills his soul’s need, he will be satisfied and find peace. If he doesn’t, then the unmet need will plague and haunt him, demanding gratification from something – anything – as long as it takes away that gnawing sense that ”I am wasting my life.”
This Shmuz introduces us to some of the most basic functions in a human being and helps us to understand exactly what man needs to attain happiness.


WHO Warns Public Against 4 Cough and Cold Medicines Following More Than 60 Deaths
(UnitedHeadlines.com) – The World Health Organization (WHO) has linked four medications, including two labeled for babies, to a mass of child deaths in West Africa. The BBC reported several cases of kidney damage along with the fatalities, which officials in The Gambia traced to cough syrups manufactured in India. The deaths appear isolated to one region, but the WHO has warned people of all countries to be aware of the danger.
All four products — Kofexmalin and Makoff Baby Cough Syrups, Magrip N Cold Syrup, and Promethazine Oral Solution — came from Maiden Pharmaceuticals Limited. Laboratory testing confirmed all the suspensions contained diethylene glycol and ethylene glycol, compounds harmful to humans. Consumption can cause headaches, stomach pain, inability to pass urine, vomiting, and diarrhea. In severe cases, it can lead to deadly kidney failure.
Warning over cough syrups after 66 children die in the Gambia https://t.co/6X2wPC8nZs
— The Guardian (@guardian) October 6, 2022
An inquiry through the Gambian health ministry also found evidence of E. coli infections as a possible contributing factor. The Guardian reported several patients tested positive for the bacterium, which can also cause severe diarrhea, in their stool samples. Heavy flooding in the region, which led to overflowing sewers, might have spread the infection.
Regardless of any underlying infections, the medications appear to have played a deadly role in most reported cases. Officials issued a formal recall on all potentially affected products on September 23. Authorities in India are investigating the matter and have requested evidence from the WHO for review.
Copyright 2022, UnitedHeadlines.com


4 Min Read
Developing and Exploring Identity
Identity development is a lifelong process that involves defining your beliefs, values, and sense of self. Our understanding of identity development is primarily influenced by psychologist and psychoanalyst Erik Erikson, who theorized that identity formation is the critical task of development in adolescence.
For many of us, our concept of personal identity constantly changes from adolescence through adulthood. Friends, social groups, colleagues, and culture all play essential roles in shaping and forming an identity throughout life.
While exploring your identity can be exciting, it can also be a source of confusion. It’s not easy to question your own identity, especially when identity formation conflicts with societal norms. With that said, your identity plays a pivotal role in forming a positive relationship with yourself, and taking steps toward identity commitment and achievement can improve your overall well-being.
Identity Development Challenges
Although the process of identity development is different for everyone, there are a few common areas in which adolescents and adults commonly experience identity conflicts, including:
Social identity:You might feel unsure where you fit in a social context or think that your friendships and close relationships are unstable. Family identity:You might feel like your values and beliefs do not match those of your family. Cultural, ethnic, religious, or racial identity :Your identity might conflict with the norms and expectations of your cultural, ethnic, racial, or religious background, or you may be navigating several identities that conflict with each other. Societal pressures and discrimination against marginalized groups can further contribute to identity issues. Professional identity:You may question whether your chosen professional path is the one you want, or you may lack a sense of competence at work. Some people may feel as if their identity at work is misaligned with their behavior at home. Gender or sexual identity :You may question your gender identity or sexual orientation. Societal norms about gender roles and sexuality can further exacerbate these challenges.
In some cases, individuals facing identity development challenges may attempt to avoid identity commitment. For example, a high school senior experiencing identity development challenges might avoid thinking about what they want to do when they graduate high school.
According to Erikson, this process, known as identity diffusion, slows the identity achievement process and affects psychological adjustment in adolescence.
Find a Therapist to Help With Developing and Exploring Your IdentityGet personalized matches Identity Development and Mental Health
For some individuals, identity development can lead to mental health symptoms. Certain pre-existing mental health conditions, such as depression and anxiety, can distort an individual’s sense of identity.
Common mental health issues related to identity development and diffusion include:
Anxiety or worry:You might feel preoccupied with concerns surrounding identity and find it difficult to focus on other things, especially if you’re navigating conflicting identity statuses. Sadness or depression:Struggling with identity diffusion, role confusion, or a lack of competence surrounding your identity may lead to despair and hopelessness. Stress:You might constantly feel stressed or experience physical symptoms of stress, such as unexplained aches and digestive issues. Interpersonal conflicts:Feeling unsure of your identity might lead to family issues or conflicts with friends. You might also feel like you don’t fit in or feel uneasy during social interactions. Academic/professional challenges:Especially if you’re questioning your professional or academic identity, your identity conflicts may negatively affect your academic or professional performance.
According to Erikson’s theory, children and adolescents who are not allowed to engage in identity exploration may experience role confusion in late adolescence and young adulthood. Role confusion can disrupt the adolescent identity development process. Individuals may feel unsure of who they are or what they like, have difficulty forming close relationships, and feel unsure what to do with their lives.
What should you do if you’re struggling with identity development?
If you’re experiencing mental health challenges related to identity development, some of these options can help you find strength and support.
Therapy:Therapy can help you navigate identity development challenges, find support, and cope with mental health issues. Working with a therapist who shares your gender identity, ethnicity, or religious affiliation can also help you explore challenges related to gender roles, racial identity, social identity, and group membership. Local resource centers:Searching for resource centers in your area can help you meet like-minded people and explore different identity statuses. For example, try searching for “resource center,” your zip code, and traits related to your identity, such as “LGBT.” Journaling:Writing down your thoughts and feelings surrounding different roles can help you make sense of new experiences. Meditation and mindfulness:Practicing meditation and mindfulness regularly can help reduce the mental health symptoms that may accompany identity exploration. Community groups:If you’re struggling with identity issues related to ethnicity, culture, race, or religion, finding an in-person or online community of young adults who share your identity can help you gain perspective, form close relationships, and find role models in your community to look up to. Finding a Therapist
Developing a sense of identity is an essential part of maturing as an adult—and struggling with elements of your identity is a normal part of the process. Psychotherapy provides a safe space for individuals to discuss issues related to their identity, find ways to cope with identity development issues and find themselves in the process.
To find a therapist, reach out to a mental health professional through WithTherapy. We’ll connect you to a therapist you feel comfortable with, regardless of your personal preferences and requirements. Whether you’re struggling with identity exploration in young adulthood or you’re experiencing an identity crisis for the first time, one of the licensed therapists on the WithTherapy platform can help you navigate identity conflicts and gain a stable sense of identity.


If you’re among the 180 million Americans missing one or more teeth, you may be interested in restorative dentistry such as dental implants. The team at EZ Dental in San Jose, California, offers dental implants to replace a missing tooth and restore the functioning of your mouth with long-lasting results. Schedule an appointment by calling the practice and speaking with a friendly team member or using the convenient online booking tool.
Dental implants are artificial teeth to replace a missing tooth or multiple teeth. They look, feel, and function like your natural teeth, providing greater strength than traditional dentures. Dental implants are made of metal or ceramic, and placed into the jawbone to secure a crown or bridge in the place of the missing tooth.
Not everyone who is missing a tooth or multiple teeth can get a dental implant. You need proper bone density to secure the implant, and you must maintain good oral hygiene habits to avoid infection. If you are not a candidate for a dental implant, you might consider dental bridges or dentures to replace missing teeth.
Placing a dental implant requires surgery. Your dentist will take X-rays and use special tools to prep your jawbone for the implant, place the implant in the bone, and then wait for the implant to fuse with the bone. Your bone tissue will heal around the implant to anchor it in place.
Anesthesia is administered to maintain your comfort during the procedure. After your bone has healed, you return to EZ Dental to attach your restoration like a crown, bridge, or implant-supported dentures.
When properly cared for, dental implants last 25 years or more. They’re designed as a permanent tooth replacement and can support pressure from chewing or biting just like a natural tooth because they are anchored into the jawbone. Dental implants also prevent bone deterioration by preserving the natural tooth tissue and reducing the load on your remaining teeth.
The exposed parts of your dental implant are more susceptible to damage than the part fused with your jawbone. At some point your attached crown, bridge, or dentures will need replacing.
Caring for dental implants requires the same hygiene practices as properly caring for your natural teeth:
If you are missing one or more teeth and would like to learn more about dental implants, call EZ Dental or schedule an appointment online today.


What is the primary reason for administering morphine to a client with an MI? A. To sedate the client. B. To decrease the client’s pain. C. To decrease the client’s anxiety. D. To decrease oxygen demand on the client’s heart.
Correct Answer: D. To decrease oxygen demand on the client’s heart
Morphine is administered because it decreases myocardial oxygen demand. Morphine can decrease the heart rate, blood pressure, and venous return. Morphine can also stimulate local histamine-mediated processes. In theory, the combination of these can reduce myocardial oxygen demand.
Option A: Morphine is a potent opioid; it decreases pain, which in turn leads to a decrease in the activation of the autonomic nervous system. These are desirable effects when a patient is having an MI. Additionally, morphine has hemodynamic side effects that can be beneficial during an MI.
Option B: Patients that are actively having acute coronary syndrome are often given morphine in the emergency setting before going to the cath lab. Morphine to relieve pain during a myocardial infarction (MI) has been in use since the early 1900s.
Option C: Morphine will also decrease anxiety while causing sedation, but it isn’t primarily given for those reasons. Morphine is rarely used for procedural sedation. However, for small procedures, physicians will sometimes combine a low dose of morphine with a low dose of benzodiazepine-like lorazepam.